NPI 1053435024

Pura Vida Therapy, LLC

Organisation Specialist Shawnee, KS

Practice location

Address: 12480 W 62nd Ter STE 100, Shawnee, KS 66216-1871
Phone: (913) 788-8888

Authorised official

Name: Allen Child
Title: Owner
Phone: (913) 788-8888

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1053435024
Entity type: Organization
NPI issued: 16 Mar 2007
Record last updated: 8 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.